HomeMy WebLinkAboutBUSINESS PLAN (2)
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"'. 'L ::~ LUCKY 7 DELI-MART
,~;, " ,.:: 714 NILES STREET
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LUCKY 7 DELI MART
SiteID: 015-021-000852
Manager HARNEK S S~HU
Location: 714 NILES ST
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
BusPhone:
Map : 103
Grid: 29B
(661) 325-7281
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:
DunnBrad:770007-6737
Emergency Contact / Title
HARNEK S.. Sf,.NDHU, / OWNER
Business phone: (661) 325-7281x
24-Hour Phone : (661) 871-7156x
Pager Phone : ( ) - x
Hazmat Hazards:
Contact : HARNEK S SANDHU
MailAddr: 714 NILES ST
City : BAKERSFIELD
Owner
Address :
City
HARNEK S SANDHU
5704 VISTA FIMESTRA DR
: BAKERSFIELD
Period :
Preparer:
Certif'd:
ParcelNo:
to
Emergency Directives:
PROG A - HAZMAT
PROG U - UST
Emergency Contact / Title
SHARAN K SANDHU / OWNER
Business Phone: (661) 325-7281x
24-Hour Phone : (661) 871-7156x
Pager Phone : ( ) - x
Fire
ImmHlth DelHlth
Phone: (661) 325-7281x
State: CA
Zip : 93305
phone: (661) 325-7281x
State: CA
Zip : 93306
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
[NTI~ JUL 9 0 f~~1
Based on my inquirv f h '.
responsible for obtainin~ t~ t f ose individuals
under penalty oi I~w Ojth ~ 'r ~rmation, I certify
examined and am f~ .,..a . lave personally
submitted and tleli~~7:1/:~r ~'~h the information
accurate, and camp/et; e In ormation is true,
s;gnatuj81 ~ ..." I g , (J 7
Date
-1-
07/12/2007
....
-..:
F LUCKY 7 DELI MART
SiteID: 015-021-000852 9
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: LUCKY 7 DELI MART
Cross Street :
Business Type: Org Type:
Total Tanks : 2 IndnRes/Trust: No PA Contact:
Dsg Own/Oper : AARON KOOP ICC Nbr: 5246187-UV
PROPERTY OWNER INFORMATION
Name : SHARAN K SANDHU Phone: (661) 325-7281x
Address:
City : State: Zip:
Type : INDIVIDUAL
TANK OWNER INFORMATION
Name : SHARAN K SANDHU Phone: ( 661 ) 325-7281x
Address:
City : State: Zip:
Type : INDIVIDUAL
BOE UST Fee# : 033568
Financ'l Resp: STATE FUND
Legal Notif :
Date: Phone: (13 ) 6 - x
Name:SHARAN K SANDHU Ttl:OWNER
State UST # : 1998 Upg Cert#:
-2-
07/12/2007
.i~
F LUCKY 7 DELI MART
p= Hazmat Inventory
p== MCP+DailyMax Order
SiteID: 015-021-000852
By Facility Unit
Fixed Containers on Site
L
L
"I
"I
"I
DailyMax lunitlMCP
4000.00 GAL Mod
2000.00 GAL Mod
Hazmat Common Name. . .
I SpecHazIEPA Hazards I Frm T
UNLEADED GASOLINE
GASOLINE
IH DH
IH DH
F
F
-3-
07/12/2007
,"
-4-
07/12/2007
"I~
SiteID: 015-021-000852 ,
Facility unit: Fixed containers on Site 9
Days On site
365
F LUCKY 7 DELI MART
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
UNLEADED GASOLINE
Location within this Facility Unit
S SIDE OF FAC
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
10000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4000.00 GAL
Daily Average
2000.00 GAL
%Wt. RS CAS#
100.00 Gasoline No 8006619
HAZARDOUS COMPONENTS
ARD E
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZ
ASS SSMENTS
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
GASOLINE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
S SIDE OF FAC
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
5000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
2000.00 GAL
Daily Average
1000.00 GAL
%wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS~ I
8006619
NTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSME
-5-
07/12/2007
~
SiteID: 015-021-000852 1
Fas t Format 1
Overall Site 9
07/19/2006
F LUCKY 7 DELI MART
I
f= Notif./Evacuation/Medical
Agency Notification
FOR GAS RELATED HAZARDS SPILLS, MOBIL WOULD BE CONTACTED THROUGH STUART
PETROLEUM. FOR FIRE AND OTHER EMERGENCY SITUATIONS HELP WOULD BE SOUGHT
THROUGH 911.
Employee Notif./Evacuation
07/19/2006
ONLY ONE TO TWO PERSON WORK AT ONE TIME. EACH PERSON IS DIRECTED TO LEAVE
THE PLACE IMMEDIATELY AND SEEK EMERGENCY HELP TO CONTROL THE SITUATION.
Public Notif./Evacuation
11/28/2000
BEING A VERY SMALL BUSINESS, EVERYBODY IN THE FACILITY WOULD BE VERBALLY
NOTIFIED OR EVACUATED.
Emergency Medical Plan
07/19/2006
KERN MEDICAL CENTER. IF NECESSARY, 911 COULD BE ACTIVATED TO GET EMERGENCY
MEDICAL HELP. HALL AMBULANCE IS LOCATED A FEW BLOCKS EAST OF THIS BUSINESS.
-6-
07/12/2007
r
~
SiteID: 015-021-000852 ,
Fast Format 9
Overall Site 9
07/19/2006
F LUCKY 7 DELI MART
I
p= Mitigation/Prevent/Abatemt
Release Prevention
EMERGENCY SWITCH WILL BE ACTIVATED IMMEDIATELY. IF SPILL DOES OCCUR,
PROFESSIONALLY TRAINED HELP WILL BE REQUESTED TO PROPERLY HANDLE THE SPILL.
Release Containment
07/19/2006
FIRST AND FOREMOST STEPS WILL BE TO ACTIVATE THE EMERGENCY SHUT-OFF SWITCH.
THIS WILL STOP PUMP THUS NO MORE GAS WILL BE RELEASE. MOVE ALL VEHICLES AND
OTHER SOURCES OF IGNITION TO SAFER AREA. REQUEST THAT SMOKERS EXTINGUISH
THEIR CIGARETTES. DIKE WITH SAND OR EARTH TO CONTAIN THE RUN-OFF. DISPOSE
OF THE SAND IN ACCORDANCE TO RULES AND REGULATIONS.
Clean Up
07/19/2006
IF SITUATION WARRANT SPECIAL CLEAN-UP TEAM IS NEEDED THEN MOBIL WOULD BE
ASKED TO PROVIDE THAT ASSISTANCE. IN OTHER SITUATIONS, LOCALLY COMPETENT
ESTABLISHMENT WOULD BE CONTACTED TO CERTIFY THE SITUATION.
Other Resource Activation
-7-
07/12/2007
f- ....
SiteID: 015-021-000852 "I
Fast Format "I
Overall Site "I
F LUCKY 7 DELI MART
I
p= Site Emergency Factors
Special Hazards
Utility Shut-Offs
12/14/2006
A) GAS - NONE
B) ELECTRICAL - E WALL ALONG BACK
C) WATER - E AND N WALL
D) SPECIAL - EMER SHUT-OFF SWITCH
E) LOCK BOX - NO
DOOR
FOR GAS PUMPS N OF ENTR DOOR
Fire Protec./Avail. Water
12/14/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - NW CRNR BAKER & NILES.
Building Occupancy Level
03/31/2006
2 EMPLOYEES
-8-
07/12/2007
.j::. ,"" r ,~
SiteID: 015-021-000852 9
Fast Format 9
Overall Site 9
07/19/2006
F LUCKY 7 DELI MART
I
F Training
Employee Training
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL THE EMPLOYEES ARE KNOWLEDGEABLE TO
ACTIVATE THE EMERGENCY SHUT-OFF SWITCH, ELECTRIC MAIN SWITCH, WATER HYDRANT.
DEPENDING UPON THE SERIOUSNESS OF SITUATION, THEY ARE ASKED TO CONTACT 911
OR OTHER APPROPRIATE EMERGENCY. GET EVERYBODY OUT OF THE BLDG AND MOVE TO A
SAFE CORNER OF BAKER AND NILES ST.
Page 2
Held for Future Use
Held for Future Use
-9-
07/12/2007
"
-.' .~'
Ii
LUCKY 7- DELI MART
Manager ,/1I1Rrf1J1( S. 5f}NJJHil
Location: 714 NILES ST
City BAKERSFIELD
SiteID: 015-021-000852
BusPhone:
Map : 103
Grid: 29B
(661) 325-7281
CommHaz : Moderate
FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:
DunnBr~d:770007-6737
Emergency Contact / Title
HARNEK S SANDHU / OWNER
Business Phone: (661) 325-7281x
24-Hour Phone : (661) 871-7156x
Pager Phone : ( ) - x
Emergency Contact
SHARAN K SANDHU
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ OWNER
(661) 325-7281x
(661) 871-7156x
( ) - x
Hazmat Hazards:
Fire
ImmHlth DelHlth
Contact: N~RNfl< S~ G/J"';])HlJ
MailAddr: 714 NILES ST
City : BAKERSFIELD
Period :
Preparer:
Certif'd:
parcelNo:
to
Phone: (661 ) 325-7281x
State: CA
Zip : 93305
Phone: (661) 325-7281x
State: CA
Zip : 93306
,TotalASTs : = Gal
TotalUSTs: = Gal
RSs: No
Owner
Address :
City
HARNEK SANDHU
5704 VISTA FIMESTRA DR
: BAKERSFIELD.
Emergency Directives:
PROG A - HAZMAT
PROG U - UST
ENTD FEB 26 2007
Based on my inquiry of those individu~IS
responsible for obtaining the information, I certify
under penalty of law that I have person~lIy
examined and am familiar ~ith the !nformatlon
submitted and believe the mformatlon is true,
accurate, and complete.
1& (j[\ -A ;-11 ( /) 7
Signature ~ Date
-1-
02/02/2007
f!'
.
, Ii
F LUCKY 7 DELI MART
SiteID: 015-021-000852 9
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: LUCKY 7 DELI MART
Cross Street : tal"'fiP../ NIL&S
Business Type: liil Org Type:
Total Tanks, : 2 IndnRes/Trust: No PA Contact:
Dsg Own/Oper : AARON KOOP ICC Nbr: 5246187-UV
PROPERTY OWNER INFORMATION
Name : SHARAN K SANDHU Phone: (661) 325-7281x
Address: 700 NILES COf
City : ll>~ State: en Zip: tl3so)
Type : INDIV DUAL
TANK OWNER INFORMATION
Name : SHARAN K SANDHU Phone: (661) 325-7281x
Address: 7fJO /'IILG (; 5'"
City- : fb~~qj'l State: fA Zip: Q330)
Type : INDI IDUAL
BOE UST Fee# : 033568
Financ'l Resp: STATE FUND
Legal Notif : Business Mailing Address
Date: )... '}- 07 Phone: (3 6) 681- x
Name:SHARAN K SANDHU Ttl:OWNER
State UST # : 1998 Upg Cert#:
-2-
02/02/2007
.
(i
SiteID: 015-021-000852
By Facility Unit
Fixed Containers on Site
9
9
9
DailyMax lunitlMCP
4000.00 GAL Mod
2000.00 GAL Mod
F LUCKY 7 DELI MART
p= Hazmat Inventory
f== MCP+DailyMax Order
Hazmat Common Name...
I SpecHazIEPA Hazards I Frm I
UNLEADED GASOLINE
GASOLINE
F
F
IH DH
IH DR
L
L
,
-3-
02/02/2007
r.,
'T
-4-
02/02/2007
.,
SiteID: 015-021-000852 9
Facility Unit: Fixed Containers on Site 9
F LUCKY 7 DELI MART
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
UNLEADED GASOLINE
Days On Site
365
Location within this Facility Unit
S SIDE OF FAC
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
10000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4000.00 GAL
Daily Average
2000.00 GAL
%WL I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
a006619'
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
GASOLINE
, Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
S SIDE OF FAC
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
,
AMOUNTS AT THIS LOCATION
Daily Maximum
2000.00 GAL
Largest Container
5000.00 GAL
Daily Average
1000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS#a006619I
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
-5-
02/02/2007
~
SiteID: 015-021-000852 9
Fast Format 9
Overall Site 9
07/19/2006
F LUCKY 7 DELI MART
I
p= Notif./Evacuation/Medical
Agency Notification
FOR GAS RELATED HAZARDS SPILLS, MOBIL WOULD BE CONTACTED THROUGH STUART
PETROLEUM. FOR FIRE AND OTHER EMERGENCY SITUATIONS HELP WOULD BE SOUGHT
THROUGH 911.
Employee Notif./Evacuation
07/19/2006
ONLY ONE TO TWO PERSON WORK AT ONE TIME. EACH PERSON IS DIRECTED TO LEAVE
THE PLACE IMMEDIATELY AND SEEK EMERGENCY HELP TO CONTROL THE SITUATION.
Public Notif./Evacuation
11/28/2000
BEING A VERY SMALL BUSINESS, EVERYBODY IN THE FACILITY WOULD BE VERBALLY
NOTIFIED OR EVACUATED.
Emergency Medical Plan
07/19/2006
KERN MEDICAL CENTER. IF NECESSARY, 911 COULD BE ACTIVATED TO GET EMERGENCY
MEDICAL HELP. HALL AMBULANCE IS LOCATED A FEW BLOCKS EAST OF THIS BUSINESS.
-6-
02/02/2007
~ T
SiteID: 015-021-000852 ,
Fast Format 9
Overall Site 9
07/19/2006
F LUCKY 7 DELI MART
I
p= Mitigation/Prevent/Abatemt
Release Prevention
EMERGENCY SWITCH WILL BE ACTIVATED IMMEDIATELY. IF SPILL DOES OCCUR,
PROFESSIONALLY TRAINED HELP WILL BE REQUESTED TO PROPERLY HANDLE THE SPILL.
Release Containment
07/19/2006
FIRST AND FOREMOST STEPS WILL BE TO ACTIVATE THE EMERGENCY SHUT-OFF SWITCH.
THIS WILL STOP PUMP THUS NO MORE GAS WILL BE RELEASE. MOVE ALL VEHICLES AND
OTHER SOURCES OF IGNITION TO SAFER AREA. REQUEST THAT SMOKERS EXTINGUISH
THEIR CIGARETTES. DIKE WITH SAND OR EARTH TO CONTAIN THE RUN-OFF. DISPOSE
OF THE SAND IN ACCORDANCE TO RULES AND REGULATIONS.
Clean Up
07/19/2006
IF SITUATION WARRANT SPECIAL CLEAN-UP TEAM IS NEEDED THEN MOBIL WOULD BE
ASKED TO PROVIDE THAT ASSISTANCE. IN OTHER SITUATIONS, LOCALLY COMPETENT
ESTABLISHMENT WOULD BE CONTACTED TO CERTIFY THE SITUATION.
Other Resource Activation
-7-
02/02/2007
'i
SiteID: 015-021-000852 9
Fast Format 9
Overall Site 9
F LUCKY 7 DELI MART
I
p= Site Emergency Factors
Special Hazards
Utility Shut-Offs
12/14/2006
A) GAS - NONE
B) ELECTRICAL - E WALL ALONG BACK
C) WATER - E AND N WALL
D) SPECIAL - EMER SHUT-OFF SWITCH
E) LOCK BOX - NO
DOOR
FOR GAS PUMPS N OF ENTR DOOR
Fire Protec./Avail. Water
12/14/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - NW CRNR BAKER & NILES.
Building Occupancy Level
03/31/2006
2 EMPLOYEES
-8-
02/02/2007
.). ,_:r.;-,.
SiteID: 015-021-000852 ,
Fast Format 9
Overall Site 9
07/19/2006
F LUCKY 7 DELI MART
I
F Training
Employee Training
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL THE EMPLOYEES ARE KNOWLEDGEABLE TO
ACTIVATE THE EMERGENCY SHUT-OFF SWITCH, ELECTRIC MAIN SWITCH, WATER HYDRANT.
DEPENDING UPON THE SERIOUSNESS OF SITUATION, THEY ARE ASKED TO CONTACT 911
OR OTHER APPROPRIATE EMERGENCY. GET EVERYBODY OUT OF THE BLDG AND MOVE TO A
SAFE CORNER OF BAKER AND NILES ST.
Page 2
Held for Future Use
Held for Future Use
-9-
02/02/2007
l: J <1'
+ LUCKY 7 DELI MART =================================== SiteID: 015-021-000852 +
Manager
Location: 714 NILES ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29B
(661) 325-7281
CommHaz : Moderate
FacUnits:' 1 AOV:
CommCode: BFD STA 02 SIC Code:
EPA Numb: DunnBrad:770007-6737
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
HARNEK S SANDHU / (]ItJNE~ SHARAN K SANDHU / ar.vry'fR
Business Phone: (661) 325-7281x Business Phone: (661) 325-7281x
24-Hour Phone : (661) 871-7156x 24-Hour Phone : (661) 871-7156x
Pager Phone () x Pager Phone () x
+---~------------------~----------------+--------------------------------------+
I Hazmat Hazards: Fire' ImmHlth DelHlth I
+~-~--~-------------~-------~---------------------~------------~---~-----~----,-+
Contact : Phone: (661) 325-7281x
MailAddr: 714 NILES ST State: CA
City : BAKERSFIELD Zip : 93305
+------------------------------------------------------------------------------+
Owner HARNEK SANDHU Phone: (661) 325-7281x
Address : 5704 VISTA FIMESTRA DR State: CA
City : BAKERSFIELD Zip : 93306
+------------------------------------------------------------------~-----------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certifid: RSs: No
ParcelNo:
+------------~----~------------------------------------------f~--------------+
Emergency Dlrectlves: "fUJlIl
PROG A - HAZMAT 1 9 ?f1/)
PROG U - UST vU8
83sed on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
,1M~ 1:1-/0 '06
Signature Date
alp
I-XrJ\O \ rr
'0 srfJ ~ -i- "0
CZ>~cP\ {.
0'
+==============================================================================+
-1-
03/31/2006
RONALD J. FRAZE
FIRE CHIEF
Gary Hutton,
Senior Deputy Chief
Administration
326-3650
Deputy Chief Dean Clason
Operationsrrraining
326-3652
Deputy Chief Kirk Blair
Fire SafetyJPrevention Services
326-3653
2101 "H" Street
Bakersfield, CA 93301
OFFICE: (661) 326-3941
FAX: (661) 852-2170
RALPH E. HUEY, DIRECTOR
PREVENTION SERVICES
RRE SAFETY SERVICES. ENVIRONMENTAL SERVICES
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
OFFICE: (661) 326-3979
FAX: (661) 852-2171
David Weirather
Fire Plans Examiner
326-3706
Howard H. Wines, III
Hazardous Materials Specialist
326-3649
April 10, 2006
Mr. Harnek Sandho
Lucky 7 Deli Mart
714 Niles Street
Bakersfield, CA 93305
REMINDER NOTICE
Re:
Guidelines for Unsupervised Dispensing
Dear Mr. Sandho:
It has come to our attention that many convenience stores who sell gasoline, like
yourselves, are closing late at night. If you are using card readers and leaving
your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised
Dispensing."
Unsupervised dispensing is allowed when the owner or operator provides, and is
accountable for daily site viSits, regular equipment inspection and maintenance,
including any unauthorized release or spills, posted instructions for safe operation
of dispensing equipment, arid posted telephone numbers for the owner or
operator. Signs prohibiting smoking, prohibiting dispensing into unapproved
containers and requiring vehiCle engines to be stopped during fueling shall be
conspicuously posted within site of each dispenser.
In addition, a sign shall be posted in a conspicuous location reading:
In case of spill or release:
1) Use Emergency Pump shut-off
2) Report the accident
3) Fire Department Telephone
4) Facility address
During the hours of operatioh, stations having unsupervised dispensing shall be
provided with a fire alarm transmitting device. A telephone not requiring a coin to
operate is acceptable. The fuel leak detection system must have a remote or
phone modem to insure off-Site monitoring during hours of unsupervised
dispensing. During hours of darkness, sufficient lighting must be maintained so
that all signs associated with fueling operation are conspicuous and readable. A
gallon container of an absorbent material used for spills must be made available
to the public during hours of unsupervised dispensing. A fire extinguisher with a
minimum 2A, 2B, and 2C rating must be located on dispenser island during hours
of unsupervised dispensing.
.,(?/~tk ~~~~9f@~.
CI
"'
":,
To: Mailing List of Valued Customers
Reminder Notice Re: Guidance for Unsupervised Dispensing
April 10, 2006
Page 2
" .
i
If you are currently having hours of unsupervised dispensing, you must comply with the
above-mentioned requirements. .
Starting April 15, 2006, this office will conduct rahdom checks of all fueling stations within
the city limits for compliance. If you shut your station down after normal business hours
and are not pumping fuel, please disregard this reminder notice.
Should you have any questions, please feel free to call me at 661-326-3190.
Sincerely,
Ralph E. Huey,
Director of Prevention Services
"
~cUwi:0
By: Steve Underwood,
Fire Prevention Officer
REH/db
~uh()~ ~p-- Lj-/-tJ 3 ~.-L
U~FIED PROGRAM INSPECTION CHECKLIST
1"
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
FACrJ2r ~ -, U c. L .. "l& f .t___ . _. _. - ,_ __ (; ~ .~ ~~c! H__ --- - --- -- - 'l ili IIN;~Cr~ cA~3 .! ~~s:~~m~~~~E__ ,
ADDRESS -, - - - -- ---: .-- - -, ----,---- -- PHONE No ,No of Employees
{I 4 }-{ l k]_,,__ ~l______"'_____ ___"___' __uu_,____ _n_ _______.___ 3K: 1JSJ __t_ _ ~ ,___ __
FAl~JLI.TYCONTACT -- BuSiness 10 Number
15-021-
a Routine
Section 1: Business Plan and Inventory Program
'm Combined a Joint Agency a Multi-Agency 0 Complaint
aRe-inspection
c v
~
( C=Compliance )
V=Violation
OPERATION
m__C:~:ENT _.(Q)~
ApPROPRIATE PERMIT ON HAND
--i'--T-'--.-"----------'-'-'---"-~----' ----..--..,-,,---..-,- - -, ..-.- ------
rr a BUSINESS PLAN CONTACT INFORMATION ACCURATE
-~~--~~SIBLE -~DRESS ,-----------,-.-. - ------ ,-..---"......- .""", - --------,-.-.-"'.-,--'.
07~~ORRECT - OC~UPA:~~--u_-.---------n--"-- -- -..-. - -.,-----, - ..-. --, - _n...__.._..______ .- ,.. ..
~.~'- VE~;:;-;ATIO~- OF-I~~~NT~RY ~TE~IAL;-------'--..-,..-'
U, --'..7'-....-----..-----..------..'--....----- ---...-----.- ..- ,-.----, - - -----... - - ,,----....--.. --,----.--..... ..... -,-,-.. ..-" .., ,
(g/ LJ VERIFICATION OF QUANTITIES
"'-'T'--" -.--,----------..--..,-----.....---.----..-....-...--. ---,-.--..------.. ..,__.........__n_._...__,__"..__,__ -' - -,-..-,-.... .... ,.
i9" a VERIFICATION OF LOCATION
-~~-----~;~~~ SEGREG~~IO~~~-~;TER:~:--------'-.-,..
~.,-~ VER:FICATION O;~-~~-; AV~~~ABILI~-;'------""u---- '--..'--'--' _,_,_,_'u ,--,----,--.----..,--.---...--,-..,-.
-fi7 0 -'-V~~;I~~TION OF-H~-MAT ~~~~~_m. -, .,..,...--,...----.. --"...-.----,-,---- -- u__nn__u_n__,__..._,__,._'.... ' --- --, ,...
E(-D-~-RIFICATlON OF "~~:TEMENT S~;~~;~~-~N; ;~~~~~~~~ _______.m_ ---~-.--..-.-. ,- u_____h ..,-..,... --- """ - ...,-....
___._._______.___"________._____._.___.___._______._ .______ ____.._._.____ .____.._______.____.. "__., ___ __".__.. -__.'__0.- _.. ._____._______ _n .._____.."_ __.
/
a EMERGENCY PROCEDURES ADEQUATE
-~~::~~~NT~~~~~-~~~i~i;~-~~~~~~:~~:~~-~~~..=.~~,=--':,':,',.~_-:~.:~~~--.-~'=~~ ,__.-_:=~~,-~,-_' _~-"',:---_'~',,.~_~_: .::,.',~ "..,
6.. LJ HOUSEKEEPING. j
,.../-.-..--'-'--...-,..._____.___._.._'_.._"'_'___~-.......- '''_''''_'_'__ ___ ___'___" __,__",__."__,__,__,______,_,,,_____.._. ______ _. ,..._u__,_.._,
tJ Cl FIRE PROTECTION
u~r;-- S,~~D~~~~~MA~~~~~~~-&-ON'-H~~.~-----.- ---.------ ------.--- ---..---- 'h_____,,__ .... .."....,,- n___u_,_.. ,'. "..n" ..,-.
ANY HAZARDOUS WASTE ON SITE?:
DYES
~O
EXPLAIN:
QUEmIi' RE"^,:~ rs INSPECTION? PLEASE CAll US AT (661) 326-3979
V~ (k{jJm}-~() L/
.,_oz.._______________ ._,.._.._~.. ,_, .,_..,,_....._____,_____,___,
Inspector Badge No.,
/"'-,
..,________.____.AA}0:Hfb _____
Business Site Responsible Party
WhIle .. Environmenlal Services
Yellow . Station Copy
Pink . Business Copy
1
tf,.
CITY OF BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST ;
t 7 t 5 Chester A VC., 3rd Floor, Bakersfield, CA 9330 I I
FACILITY NAME ~U(~,( f OJ!' tll{(~'t
INSPECTION DATE 5"-( - () 3
Section 2:
Underground Storage Tank~ Program
o Routine I:ti Combined 0 Joint Agency
Type of Tank ~ILJI_ (~,v.J
Type of Monitoring fiT("
o Multi-Agency 0 Complaint
Number of Tanks L
Type of Piping ~U)5 ( c . P. )
ORe-inspection
OPERA TlON C V COMMENTS
V v
Propt:r tank data on tilt:
-
Propt:r ownt:r/operator data on tile V
Pennit fees current , l./
Certification of Financial Responsibility v
Monitoring record adequate and current v /
Maintenance records adequate and current 1/ /
...
Failurt: to correct prior UST violations
Has there been an unauthorized release? Yes No J
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERA TION Y N COMMENTS
spec available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/laheling
Is tank used to dispense MYF?
I f yes. Does tank have overtill/overspill protection?
C=Compliance
Y=Yes
N=NO
Inspector:
Office of Environmental Services (661) 326-3979
n
J);f~~tih
Business Site Responsible Party
White - fnv. Svcs.
Pin~ ' Business C"py
UNIFIED---PAOGRAM INSPECTtON CHECKLIST :':
BAKERSFIELD FIRE DEPI'
Prevention Services
900 nuxtun Ave.. Suite 210
Bakersfield. CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
f4~:;~''''' ~~l;:H~.~...w.i,',"i\~l'~~j.;":)t~..", (.!.~F~"l.2':,~,; '-,' ;.;r-'flf.'~~',,:' i:<;"3l~-j;:('7.;'Y..:''''~'<i>~,.'- -~,,,,?,'.:-,"'.~ .'-","~-"_: ; ":"':;:.:1'_'.'1""._ - .'~; '-'0_;'> ,'!<'" J:~';"..._';,
SECTION 1: Business Plan and Inventory Program
FACILITY CONTACT
USINESS 10 NUMBER
15-021-
ADDRESS
D ROUTINE
Section 1: Business Plan and Inventory Program
COMBINED '0- JOINT-AGENCY--cr MUL TI-AGENCY-O' COMPLAINT
D RE-INSPECTION
C V ( C=CornPlianCe) OPERATION COMMENTS
V=Violation ,---,-,-,-----
._-~--------- ~_.-' --..-- ,---,-",----,--,-,,--, --,----------_.._,-,---,--,----,---,-
9~ ApPROPRIATE PERMIT ON HAND
v
pf.D Business PLAN CONTACT INFORMATION ACCURATE
fl/' D VISIBLE ADDRESS
~ D CORRECT OCCUPANCY
P D VERIFICATION OF INVENTORY MATERIALS
~ D VERIFICATION OF QUANTITIES
"a-o VERI FICA TION OF LOCATION ENr'l1 tvIli fj h ~ ^~'
..
piLD PROPER SEGREGATION OF MATERIAL .. v I !UUo
~-._~-_._-------,----_._----_._-_._--~_..__...._--_.__..-...-.,. "___ ___.___. ____Uu.".___ n_ .__.m_m..__.__.....__ ___ __+__. ~__ .______._._________.....~_._.,..._ "__...____.m______,___.
.,a...,D VERIFICATION OF MSDS AVAILABILITY
~D VERIFICATION OF HAl MAT TRAINING
~ D VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
~D EMERGENCY PROCEDURES ADEQUATE
~D CONTAINERS PROPERLY LABELED
d2f- D HOUSEKEEPING
ce>-- D FIRE PROTECTION
c=J2 D SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
DYES
D NO
PLEASE CALL US AT (661) 326-3979
Inspector (Please Print)
Fire Prevention Il"' In / Shift of SitelStation #
White - Prevention Services
Yellow - Station Copy
Pink - Business Copy
FD2049 (Rev, 02/05)
~-~~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave.. 3rd Floor, Bakersfield. CA 93301
FACILITY NAME Lc.{/~ 7 OLL' vYl/JILi7
INSPECTION DATE :2 - 2J--ob
Section 2:
Underground Storage Tanks Program
o Routine ~ombined 0 Joint Agency 0 Multi-Agency 0 Complaint
Type of Tank (~5',\'"'{JI~cuArl .71(/7",~NumberofTanks 1...
Type of Monitoring -ep Type of Piping flbC.{hl~ cA/4d
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on file C-'
. " t-
Proper owner/operator data on file
Penn it fees current L-
Certification of Financial Responsibility "-
Monitoring record adequate and current L- (h (! 11./, --r1J U v"A/'i~" <;, U1 }]f. o;L7;</r~a.
Maintenance records adequate and current L~
Failure to correct prior UST violations C-
Has there been an unauthorized release? Yes vA-- No
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERA TION y N COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection'?
C=Compliance
V=Violation
Y=Yes
N=NO
Inspector: M/YId a.J ~b A- P- 1-
Office of Environ me mal Services (661) 326-3979
fl11i) ~
Business Site Responsibl-eParty
While - Fnv. Svcs.
Pink - Flllsiness Copy
',-'':' I
~'" ~,
.-~,-,
......-.;.::;.
L~ . ".-" ... 1,._
~.., "" .""!.'--...
,__,'__;':~,!~;:-__~r'" '\.---"----.--.
'-.J."":'"~' ~,
,........-.,.., "'-.
. ,'__' _"""~--_"-"". ....:. _:;""'~''-:''''''''. 1 ._.
-___.............,.r.'___r-..-,...__-.~__.."...__....._.....
~~"-1
-------- STATUS REPORT ---------
rUE FE8 21,06 il:45:48 RM
STHTIGH HH!'1E:
LUCK'-/ 7 11ARKET
700 NILES ST.
1-305-325-7281
BAKERSFIELD, CA. 933136
mtiK 1 PRODUCT:
CURRENT STATUS:
I I
I ,
GROSS:
NET:
FUEL LE/..JEL:
i;iATER LEUEL:
TEi'lP :
G~:OSS I)TF:
i3RCt3S ULLAGE:
THNK 2 PPODUCi:
C!JRRmT STRTUS:
, I I
I I I
13ROSS:
HET:
FUEL LEIJEL:
I.~ATER LEVEL:
TE}1P:
GROSS I.JTF:
@OSS ULLAGE:
UNLEAC,ED
, I I
I I I
4805.126 gal
4750.255 gal
40.2523 in
(1.2648 in
77 .568 !If
7194.860 gal
95;';=6594 .8613 gal
PLUS
I ,
, ,
1686.397 9al
1707.352 gal
18.9268 ifl
0.5367 in
4~3 ,:::83 !SF
1[i313 ~EA0 13al
95~=9713.640 gal
~ "~-,: '_:;., 'l::::T:::;"r..:t~~l; <' '~."~.l}:':, ", I
---~
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPI'
Prevention Sentces
900 Truxtun Ave., Suite 210
Bakersfield. CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
UNIFIeD PROGRAM INSPECTiON CHECKLIST
"",,'"
.'4_';l!l'ol.:;_';.~~I;'::::':t~;;~...~'r,~~'i'.~'JJ','r;'.~~"$'3i1~,)::.t.<:">"'~'" ;'"-i' ,i.j' ~h;"'~..: ~::;"!~:,;/";'V,,_~':;~,:.::.':-'<.:,""~.." c,-",:._'",\':'..:~;.'"' . . ~',:.;;.,'..':.- ,.' ..~': ",!__,_.r - ".''':'' J:-::'l'." ;.. \)~; ~-'.~' '.. .'.
FACILITY NAh
ADDRESS
l)dt
NSPECTlON TIME
D ROUTINE
Section 1: Business Plan pnd I~ventory Program t:'5 3 I q-r-
.-------------.--------.-------.------
COMBINED D JOINT AGENCY D MULTI-AGENCY D COMPLAINT D RE-INSPECTION
C V (C=COl)1plianCe)
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
ENT'D AUG 0'3 2
PROPER SEGREGATION OF MATERIAL
CONTAINERS PROPERLY LABELED
~~b-..t\ ON ~
EMERGENCY PROCEDURES ADEQUATE
HOUSEKEEPING
FIRE PROTECTION
!ll/D SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
DYES
iNO
71"'ln / Shift of Site/Statior\. #
~{" ,..
White - Prevention Services
Yellow - Station Copy
Pink - Business Copy
FD2049 (R!\,.02/05)
~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave.. 3rd f'loor. Bakersfield. CA 93301
.v
FACILITY NAME_kur.~\.f" tk (I DAtlr-t
INSPECTION DA TE~O{.:,
Section 2:
Underground Storage Tanks Program
o Routine 0 Combined
Type of Tank ..5w L
Type of Monitoring
o Joint Agency
c..P.
ATe,
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
1l
SWL ~ tP.
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile V ,
,',
Proper owner/operator data on tile V
Penn it fees current V"
Certification of Financial Responsibility V '"
Monitoring record adequate and current V .;'
Maintenance records adequate and current V /
Failure to correct prior UST violations .......... ,.
Has there been an unauthorized release? Yes No ~
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERA TION Y N COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
[fyes. Does tank have overtill/overspill protection'?
C=Compliance
Y=Yes
N=NO
Inspector:
Office of Environmental Services (661) 326-3979
Whitc - Fnv. Svcs.
B. S. R ~bl P
usmess Ite esponsl e arty
Pink - flllsincss Cory